Dear Mrs.

Kroeger,

Due to your diagnosis of chronic lymphocytic leukemia I am writing to you to tell you

about your top treatment option. This treatment option is bone marrow transplant. This could be

very crucial to helping you survive chronic lymphocytic leukemia.

The preparation you would have to go though would start out with multiple tests to see

what type of bone marrow would benefit you the most. We also would likely put you through

some chemotherapy or radiation to kill of most of the cancer cells. Bone marrow transplants can

take as little as two days to up to a whole week so before you get the treatment you will need to

have all of your arrangements for the week made before we start the treatments. While you are

getting treatments you have to remember that you will have to stay in a certain part of the

hospital where you will be safe from infections.

For us to choose the donor cells for you they will have to go through a very extensive

health exam. These tests will include an electrocardiogram, chest, x-rays, blood chemistry, and

check your blood count. Also one of the most important things we will do is check for any viral

infections and diseases.

We perform the bone marrow transplant by first harvesting the bone marrow from your

donor a day or two before your procedure. The donor will be given 5 shots to help get the bone

marrow moving so that it will be easier to separate the white blood cells from the red blood cells.

Then before we start giving you the transplants we will have to put a port in your chest so you

can get the transplants multiple times a day for up to a week. We do it in increments so that the

cells can get to the places where they are needed most at and grow. While these treatments are
still happening we will make sure to keep a very close eye on you monitoring that nothing goes

wrong and there are no complications.

There are multiple possibilities for complications through the process of your transplants

and after the transplants. This procedure effects how you deal with infections, meaning if you get

an infection it could be very bad and effect your health significantly. Some of the main

complications that happen during after you transplants are mouth sores, nausea, vomiting,

diarrhea, cramps, ulcers, drop in blood pressure, headaches, pain, shortness of breath, chills, and

a fever.

The treatment option of a bone marrow transplant would be a reliable option for your

case. This treatment could completely take care of all of your cancer cells in an as little as 180

days. The complications might sound a little bit intimidating but the chances of you getting more

than 3 of these is very small. Please consider this treatment option for an extended period of time

before you decide.

Sincerely

Your Favorite Doctor

Koltan Lindstrom
 Dear Mrs. Kroeger,

Due to your diagnosis of breast cancer I am writing to tell you about your top treatment

option. The treatment that would be most effective would be hormonal therapy. This is going to

be very important when treating your breast cancer.

For this type of treatment you will take anti-estrogen medication that will prevent the

action of the hormones. This type of treatment you would often have to combine this with

surgery and/or chemotherapy and/or radiation. If you were to have an additional treatment the

hormonal treatment would be referred to as an adjuvant treatment. Depending on what you plan

to do hormonal therapy can take several months or even several years.

Depending on what drug you choose to use to treat your breast cancer it will either be

through a pill or an injection. There are many types of hormonal therapy it just depend on what

we decide. However we may decide to do more than just one treatment. With whatever treatment

it is that you choose we will be monitoring you until all the cancer is gone to make sure that

things will go as planned.

The side effects of hormonal therapy are based on which one we choose of the five.

Every women reacts differently to this therapy and the therapy should be well weighted for each

of them. Most women will experience hot flashes, night sweats, and vaginal dryness. They are

very common side effects for hormonal therapy. This therapy can also disrupt the menstrual

cycle in premenopausal women.

About two out of three breast cancers are caused by hormones being receptor-positive.

For these cancers, high levels of estrogen help the cancer grow and spread out very easily and
very quickly. This type of therapy makes the medication to treat and help stop the estrogen from

affecting the breast cancer cells. Take this treatment option in to consideration to help treat your

breast cancer.

Sincerely,

Mary Katherine Hoiten

 In my research I found that the most interesting thing was that the transplants can take up

to a week to finish. This is kind of scary to me because that would be a long time of going in and

getting those transplants. I was really surprised when I learned that the donors cells are harvested

one or two days before the transplants starts. I would be interested in learning more about how

you harvest the donor cells and how exactly you filter out the white blood cells.

I learned about how hormonal therapy works. I didnt know too much about it when I

started but this gave me a better understanding of what it was and who was eligible for it. I liked

how we all had to learn about something different.

(Apperley, Chaidos, Gratwohl, & Kanfer, 2007)
(Krans, 2016)
(Fish & Arceci, 2016) (htt)
(Cancer Search, n.d.)
(komen, n.d.)
(cancer.gov, n.d.)
(cancerquest.org, n.d.)
(cancer.org, n.d.)